title: Role of home total parenteral nutrition in management of obliterative peritonitis.
abstract: Two patients with obliterative peritonitis complicating enterocutaneous fistulae received total parenteral nutrition prior to surgical closure. One patient managed on home parenteral nutrition for 8 mo experienced psychosocial and nutritional rehabilitation at a daily cost of $37. Experience with the other patient confirmed that a significant resolution of obliterative inflammatory changes can occur during a 4-mon period of bowel rest when septic foci have been drained adequately. In-hospital management was required by this patient, and daily charges greatly exceeded those accrued by the other patient who could be managed at home. A home parenteral nutrition program is a cost-effective means of providing time for resolution of obliterative peritonitis.
mesh_terms: D000328:Adult; D003365:Costs and Cost Analysis; D005260:Female; D006699:Home Care Services / Q000191:economics; D006801:Humans; D008297:Male; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000009:adverse effects / Q000191:economics; D010289:Parenteral Nutrition, Total / Q000009:adverse effects / Q000191:economics; D010538:Peritonitis / Q000628:therapy*